Clubhouse: International Standards

• Overview
• Membership
• Relationships
• Space
• Work-Ordered Day
• Employment
• Functions of the Options Clubhouse
• Funding, Governance & Administration

Overview

The International Standards for Clubhouse Programs, consensually agreed upon by the worldwide Clubhouse community, define the Options Clubhouse Model of rehabilitation.

The principles expressed in these Standards are at the heart of the Options Clubhouse community's success in helping people with mental illness to stay out of hospitals while achieving social, financial and vocational goals. The Standards also serve as a kind of "bill of rights" for members and a code of ethics for staff, board and administrators. The Standards insist that a Clubhouse is a place that offers respect and opportunity to its members.

The following Standards provide the basis for assessing Clubhouse quality, through the International Center for Clubhouse Development (ICCD) certification process. Every two years the worldwide Clubhouse community reviews these Standards, and amends them as deemed necessary. The process is coordinated by the ICCD Standards Review Committee, made up of members and staff of ICCD-certified Clubhouses from around the world.

Membership

1. Membership is voluntary and without time limits.
2. The Options Clubhouse has control over its acceptance of new members. Membership is open to anyone with a history of mental illness, unless that person poses a significant and current threat to the general safety of the Options Clubhouse community.
3. Members choose the way they utilize the Options Clubhouse, and the staff with whom they work. There are no agreements, contracts, schedules, or rules intended to enforce participation of members.
4. All members have equal access to every Clubhouse opportunity with no differentiation based on diagnosis or level of functioning.
5. Members at their choice are involved in the writing of all records reflecting their participation in the Options Clubhouse. All such records are to be signed by both member and staff.
6. Members have a right to immediate re-entry into the Options Clubhouse community after any length of absence, unless their return poses a threat to the community.

Relationships

7. all Options Clubhouse meetings are open to both members and staff. There are no formal member only meetings or formal staff only meetings where program decisions and member issues are discussed.
8. Clubhousestaff are sufficient to engage the membership, yet few enough to make carrying out their responsibilities impossible without member involvement.
9. Clubhousestaff have generalist roles. All staff share employment, housing, evening and weekend; and unit responsibilities. Clubhousestaff do not divide their time between Clubhouse and other major work responsibilities.
10. Responsibility for the operation of the Options Clubhouse lies with the members and staff and ultimately with the Options Clubhouse director. Central to this responsibility is the engagement of members and staff in all aspects of Clubhouse operation.

Space

11. The Options Clubhouse has its own identity, including its own name, mailing address and telephone number.
12. The Options Clubhouse is located in its own physical space. It is separate from any mental health center or institutional settings, and is impermeable to other programs: the Options Clubhouse is designed to facilitate the work-ordered day and at the same time be attractive, adequate in size, and convey a sense of respect and dignity.
13. all Options Clubhousespace is member and staff accessible. There are no staff only or member only spaces.

Work-Ordered Day

14. The work-ordered day engages members and staff together, side-by-side, in the running of the Options Clubhouse. the Options Clubhouse focuses on strengths, talents and abilities; therefore, the work-ordered day is inconsistent with medication clinics, day treatment or therapy programs within the Options Clubhouse.
15. The work done in the Options Clubhouse is exclusively the work generated by the Options Clubhouse in the operation and enhancement of the Options Clubhouse community. No work for outside individuals or agencies, whether for pay or not, is acceptable work in the Options Clubhouse. Members are not paid for any Options Clubhouse work, nor are there any artificial reward systems.
16. The Options Clubhouse is open at least five days a week. The work-ordered day parallels normal working hours.
17. All work in the Options Clubhouse is designed to help members regain self worth, purpose and confidence; it is not intended to be job specific training.
18. Members have the opportunity to participate in all the work of the Options Clubhouse, including administration, research, intake and orientation, reach out; hiring, training and evaluation of staff, public relations, advocacy and evaluation of Clubhouse effectiveness.

Employment

19. The Options Clubhouse enables its members to return to paid work through Transitional Employment and Independent Employment; therefore, the Options Clubhouse does not provide employment to members through inhouse businesses, segregated Clubhouse enterprises or sheltered workshops.

Transitional Employment (TE)

20. The Options Clubhouse offers its own Transitional Employment program, which provides as a right of membership opportunities for members to work on job placements in business and industry. As a defining characteristic of a Clubhouse TE program, the Options Clubhouse guarantees coverage on all placements during member absences. In addition the TE program meets the following basic criteria.
    1. The desire to work is the single most important factor determining placement opportunity.
    2. Placement opportunities will continue to be available regardless of success or failure in previous placements.
    3. Members work at the employer's place of business.
    4. Members are paid the prevailing wage rate, but at least minimum wage, directly by the employer.
    5. TE placements are drawn from a wide variety of job opportunities.
    6. TE placements are part-time and time-limited, generally 15 to 20 hours per week and from six to nine months in duration.
    7. Selection and training of members on TE is the responsibility of the Options Clubhouse, not the employer.
    8. Clubhouse members and staff prepare reports on TE placements for all appropriate agencies dealing with members' benefits.
    9. TE placements are managed by Clubhousestaff and members and not by TE specialists.
    10. There are no TE placements within the Options Clubhouse. TE placements at an auspice agency must be off site from the Options Clubhouse and meet all of the above criteria.

Supported and Independent Employment (SE, IE)

21. The Options Clubhouse assists and supports members to secure, sustain and subsequently, to better their employment.
22. Members who are working independently continue to have available all Options Clubhouse supports and opportunities including advocacy for entitlements, and assistance with housing, clinical, legal, financial and personal issues, as well as participation in evening and weekend programs.

Functions of the Options Clubhouse

23. The Options Clubhouse is located in an area where access to local transportation can be assured, both in terms of getting to and from the program and accessing Transitional Employment opportunities. the Options Clubhouse provides or arranges for effective alternatives whenever access to public transportation is limited.
24. Community support services are provided by members and staff of the Options Clubhouse. Community support activities are centered in the work unit structure of the Options Clubhouse. They include helping with entitlements, housing and advocacy, as well as assistance in finding quality medical, psychological, pharmacological and substance abuse services in the community.
25. The Options Clubhouse is committed to securing a range of choices of safe, decent and affordable housing for all members. the Options Clubhouse has access to housing opportunities that meet these criteria, or if unavailable, the Options Clubhouse develops its own housing program. Clubhouse housing programs meet the following basic criteria.
    1. Members and staff manage the program together.
    2. Members who live there do so by choice.
    3. Members choose the location of their housing and their roommates.
    4. Policies and procedures are developed in a manner congruent with the rest of the Options Clubhouse culture.
    5. The level of support increases or decreases in response to the changing needs of the member.
    6. Members and staff actively reach out to help members keep their housing, especially during periods of hospitalization.
26. The Options Clubhouse assists members to further their vocational and educational goals by helping them take advantage of adult education opportunities in the community. In addition, Clubhouses provide in-house educational programs that significantly utilize the teaching and. tutoring skills of members.
27. The Options Clubhouse has a method and takes responsibility for objectively evaluating its effectiveness.
28. The Options Clubhouse director, members, staff and other appropriate persons participate in a three-week training program in the Options Clubhouse Model at a certified training base. Consultations by the Faculty for Clubhouse Development are provided to all programs seeking to implement the Options Clubhouse Model.
29. The Options Clubhouse has recreational and social programs during evenings and on weekends. Holidays are celebrated on the actual day they are observed.
30. The Options Clubhouse provides an effective reach out system to members who are not attending, becoming isolated in the community, or hospitalized.

Funding, Governance & Administration

31. The Options Clubhouse has an independent board of directors, or if it is affiliated with a sponsoring agency, has a separate advisory board comprised of individuals uniquely positioned to provide fiscal, legal, legislative, consumer and community support and advocacy for the Options Clubhouse.
32. The Options Clubhouse develops and maintains its own budget, approved by the board or advisory board prior to the beginning of the fiscal year and monitored routinely during the fiscal year.
33. Staff salaries are competitive with comparable positions in the mental health field.
34. The Options Clubhouse has the support of appropriate mental health authorities and has all required licenses and certifications. the Options Clubhouseseeks and maintains effective relationships with family, consumer and professional organizations.
35. The Options Clubhouse holds open forums and has procedures which enable members and staff to actively participate in decision making regarding governance, policy making, and the future direction and development of the Options Clubhouse.

These standards have been developed by :

International Center for Clubhouse Development
425 West 47th Street
New York, New York 10036-2304
Telephone: (212) 582-0343
Facsimile: (212) 397-1649
Email: ICCDNYC@compuserve.com
October 1996, Revised October 2000